Waters, John Roland
Waters, John Roland is an sole proprietor health care provider with primary practice located at 10 N Beachview Dr , Jekyll Island GA 31527-0816. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Waters, John Roland can be contacted via phone (912) 635-2246.Contact Information
Primary practice address
10 N Beachview Dr
Jekyll Island GA 31527-0816
Phone: (912) 635-2246
Fax: (912) 635-2100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 9593 | Georgia |
Profile Details
| NPI number | 1245340041 |
|---|---|
| LBN Legal business name | Waters, John Roland |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245340041 | NPPES |
| Georgia | Other | 9593 | PHARMACIST |
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